MILDRED TRESSE BROCK - Registered Nurse License in Illinois | # 041323349

MILDRED TRESSE BROCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323349

License Status

NOT RENEWED

Business

N

First Name

MILDRED

Middle

TRESSE

Last Name

BROCK

Business Name

MILDRED TRESSE BROCK

Original Issue Date

02/06/2001

Effective Date

02/06/2001

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006